Death certificates

Xem 1-14 trên 14 kết quả Death certificates
  • Standing alone in a viewing chapel in a London funeral parlour almost a decade ago I was struck by the impossibility of coming to terms with the fact that one day I too would be lying in a spot-lit niche like the one before me. How could I become an inert object, not experiencing the scene, not there to tell the story? I have been studying death ever since. To be honest I cannot say that my efforts to come to terms with this aspect of life have been totally successful. Our mortality is a troubling matter. Yet my interest in the topic of death has...

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  • On first glance, official identification of human remains and certification of the cause of death appear to be mundane endeavors that serve mainly private needs of families, insurers, and litigants. In truth, however, valid and reliable data on the circumstances and causes of deaths serve a variety of important public needs, including fair and accurate adjudication in criminal and civil cases, maintenance of accurate vital statistics, effective public health surveillance and response, advances in health and safety research, and improvement in quality of heath care....

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  • Recall of family history is often inaccurate. This is especially so when the history is remote and families become more dispersed geographically. It can be helpful to ask patients to fill out family history forms before or after their visits, as this provides them with an opportunity to contact relatives. Attempts should be made to confirm the illnesses reported in the family history before making important and, in certain circumstances, irreversible management decisions.

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  • The registry of the new city was then contacted until the individual was located. Changes of residence were recorded in a database with the exact date of moving. In the case of death, date and city of death were provided by the local registry office. Cause of death was either ascertained through a record linkage system of the NRW regional statistical office or through the local health offices. The record linkage system has been described in detail by Klug and colleagues (2003). Local health offices provided an anonymous copy of the relevant death certificate.

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  • The first population-based cancer registry was set up in Hamburg (Germany) in 1926. Three nurses visited hospitals and medical practitioners in the city at regular intervals. They recorded the names of new cancer patients and transferred data to a central index in the health department. This index was compared once a week with official death certificates. Other popu- lation-based cancer registries were set up in subsequent decades, so that by 1955, almost twenty had been established in various countries....

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  • The way in which a registry operates depends, inevitably, on local condi- tions and on the material resources available.

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  • Rural kiosks in developing countries provide a variety of services such as birth, marriage, and death certificates, electricity bill collection, land records, email services, and consulting on medical and agricultural problems. Fundamental to a kiosk’s operation is its connection to the Internet. Network connectivity today is primarily provided by dialup telephone, although Very Small Aperture Terminals (VSAT) or long-distance wireless links are also being deployed. These solutions tend to be both expensive and failure prone.

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  • Active follow-up usually means that the registry attempts to contact physi- cians or patients on a regular basis to see if the patient is still alive. Because this is expensive, many registries rely on passive follow-up, matching with death certificates and assuming patients are alive otherwise. Mixed systems use death certificates plus updating the ‘date last known alive’ from hospital admissions, consultations, and other sources of data. Active follow-up of the patients is usually very difficult in developing coun- tries.

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  • For example, a decision must be taken on whether to include cases for which the most valid basis of diag- nosis is solely clinical. A decision should also be taken regarding cases registered on the basis of a death certificate only (DCO), for whom no information is available on the date of diagnosis of the cancer. The most usual practice is to omit these cases from the analysis, but if they repre- sent a large proportion of registrations, it may be better to present two survival analyses, one including DCO cases and another excluding them.

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  • We register all deaths in Coos County, using the automated OVERS system, and forward the information to the state, as required by administrative rules. Births are now registered by the hospitals directly with the state through the automated system. Three deputy registrars are available to provide birth and death certificates within 24 hours of request, and often can respond immediately to walk-in requests for certificates.

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  • Despite the standard definitions noted above, accurate identification of the causes of maternal deaths is not always possible. It can be a challenge for medical certifiers to attribute correctly cause of death to direct or indirect maternal causes, or to accidental or incidental events, particularly in settings where deliveries mostly occur at home. While several countries apply the ICD-10 in civil registration systems, the identification and classification of causes of death during pregnancy, childbirth and the puerperium remain inconsistent across countries.

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  • Ideally, civil registration systems with good attribution of cause of death provide accurate data on the level of maternal mortality and the causes of maternal deaths. In countries with incomplete civil registration systems, it is difficult to measure accurately the levels of maternal mortality. First, it is challenging to identify maternal deaths precisely, as the deaths of women of reproductive age might not be recorded at all.

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  • These studies are diverse, depending on the definition of maternal mortality used, the sources considered (death certificates, other vital event certificates, medical records, questionnaires or autopsy reports) and the way maternal deaths are identified (record linkage or assessment from experts). In addition, the system of reporting causes of death to a civil registry differs from one country to another, depending on the death certificate forms, the type of certifiers and the coding practice.

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  • Resource use was routinely collected as part of the study. Non-inpatient resource use data was collected using a questionnaire distributed between January 1996 and September 1997. The incremental costs reported in the analysis have the study protocol driven costs removed. These were replaced with a pattern of clinic visits reflecting general practitioner and specialist clinical opinion on the implementation of intensive policy. Where a patient was still alive at the end of the follow-up, a simulation model was used to estimate the time from end of follow-up to death.

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